Blue Shield Medi-Gap HISTORICAL page.
Click here for CURRENT information



What Plan F pays in addition to Medicare Parts A & B
What Plan F pays in addition to Medicare Parts A & B
Click here to get quotes, full information & enroll online
Instant Medi-Gap Quotes
Get Instant Quotes from All Companies!
Blue Shield Medicare Supplement – Summary of Benefits and Rates Rev 1.2016

Blue Shield Medi-Gap – Supplement Plans

Instant ONLINE Enrollment, Full Details & Disclosures

Summary of Benefits & Rates 50 Pages Rev 12.2016 * Rates good through 2017 per 1.17.2017 email from BS

Plans at a glance 12 pages 1.1.2016

Paper Application – Be sure to add our name, address, Phone & agent code 8914.

Easy Pay Form  *  Member Portal

Email [email protected] or call us 310.519.1335

Sales Presentations….  

Medicare Options

Medi Gap – Supplements

  • NEW! “Welcome to Medicare” Rate Savings1 is now $25 per month.
    • The savings are per month for all eligible new members for their first 12 months.
    • Existing members (effective prior to August 1) with the $15 rate savings will continue their remaining 12-month cycle with no other changes.
  • Your new clients can save $3 per month for six months1 when they enroll in our dental plans.
    • Savings are available to individuals who enroll at the same time in both a Medicare Supplement plan and a Medicare Supplement Dental or Dental + Vision Plan.

NOTE: Existing subscribers are not eligible for this savings program.   Email dated 8.24.2017

NEW! Medicare Supplement Plan G – Effective January 1, 2018
Members get the same comprehensive benefits as Medicare Supplement Plan F, but Plan G does not cover the Part B deductible amount. Members are responsible to pay the Part B deductible.

The following savings programs are available with Plan G:

  • Household Savings Program
  • Welcome to Medicare Rate Savings
  • Dental and Dental & Vision Plan savings
  • Easy$PaySM online payment program


NEW! Household Savings Program – Effective January 1, 2018
This program is designed for Medicare Supplement members who reside in the same household, have the same mailing address and who enroll in the same plan type.

The program allows them to save 7% off the combined individual plan rates for both members.

Medicare Supplement Plans A, C, D, F, G and N

Not eligible:
Medicare Supplement Plans High Deductible Plan F and Plan K

New Medicare Supplement members with the Household Savings Program can combine their savings with Welcome to Medicare Rate Savings, Dental and Dental+ Vision Plan savings, and the Easy$Pay online payment program. Existing members can only use the Easy$Pay online payment program.  Blue Shield email dated 9.20.2017


The SilverSneakers ® Fitness program is included at no extra cost

Resources & Links

Member Services 800.766.4466

Medicare Provider Finder (Any MD that takes Medicare works on this plan)

Blue Shield


Blue Shield CA .com – Explanation

Updates to Billing & Service July 2015   –  October 2015

Quick Guide to new billing statement


Sample Letter – New ID Card

Sample Letter – ID Card & Billing

Broker ONLY summary

Blue Shield Financial Strength

Evidences of Coverage
(Email us if the links require a password)

Plan A, June 2010 (PDF)

Plan C, June 2010 (PDF)

Plan D, June 2010 (PDF)

Plan F, June 2010 (PDF)

High Deductible Plan F, Dec 2012 (PDF)

Plan K, June 2010 (PDF)

Plan N, Dec. 2012 (PDF)


1 Savings due to increased efficiencies from administering Medicare Supplement plans under this program/service are passed on to the subscriber. Welcome to Medicare Rate Savings do not apply to High Deductible Plan F, Plan K, and Plan N.

Related Pages

Our Introduction to:  Medi Gap  & Supplements

4.2017 Billing Updates & Changes

Part D Prescriptions

Blue Shield Part D Rx

Medi Gap – Supplement Summary of Benefits & Rates  8.2014
Plans at a glance 8.2014
Paper Application
Easy Pay Form 

Sales Presentations….  Medicare Options    Medi Gap – Supplements

 Member Services 800.766.4466800.766.4466 Contact Information
Medicare Provider Finder (Any MD that takes Medicare works on this plan)

Blue Shield Fraud Hotline

2013 Agent Certification  MAPD  PDP


Blue Shield Medi Gap – Supplement Summary of Benefits & Rates  1.2013 Rev. 7.2013

Guaranteed Acceptance Guide 10.2012

Broker ONLY

Blue Shield Website…all forms & disclosures

Transfer Application

Latest Forms
med eligible/enroll

Replacement Form

Broker Guidelines

See individual for Broker Guidelines – Confidential



Broker ONLY fax app to

  Fax #:209-367-6391209-367-6391